Individual
SUSAN MARIE WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-8247
(316) 291-7963
Mailing address
8713 W 19TH ST N, WICHITA, KS 67212-1426
(316) 721-0354
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11-00793
KS
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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